| Dr B Medical Group De PA | |
|
350c Fortune Ter # 227 Potomac MD 20854-2980 | |
| (877) 372-1104 | |
| Not Available |
| Full Name | Dr B Medical Group De PA |
|---|---|
| Speciality | General Practice |
| Location | 350c Fortune Ter # 227, Potomac, Maryland |
| Authorized Official Name and Position | Alex Mohseni (PRESIDENT) |
| Authorized Official Contact | 3017064461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr B Medical Group De PA 350c Fortune Ter # 227 Potomac MD 20854-2980 Ph: (877) 372-1104 | Dr B Medical Group De PA 350c Fortune Ter # 227 Potomac MD 20854-2980 Ph: (877) 372-1104 |
| NPI Number | 1629722483 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629722483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
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